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Thursday, October 15, 2009

MUSIC AND QUALITY OF LIFE AMONG NURSING HOME RESIDENTS WITH DEMENTIA )PART 2)

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MARTIN GIZZI, MD, PHDCHAIRMAN, NJ NEUROSCIENCE INSTITUTE AT JFK MEDICAL CENTERPROFESSOR AND CHAIRMAN, DEPARTMENT OF NEUROSCIENCE, SETON HALL UNIVERSITYPRESIDENT, MUSIC FOR ALL SEASONS MEDICAL ADVISORY BOARD

Mr. Dallow is a composer and pianistand is the co-founder of two orchestras, the New York Virtuosi Chamber Orchestra and thePhilharmonic Orchestra of New Jersey.The New Jersey Neuroscience Institute at JFK Medical Center is a comprehensive facilitydesigned exclusively for the diagnosis, treatment, and research of complex neurological andneurosurgical disorders in adults and children. Services offered at the Institute include programs in minimally-invasive and reconstructive spine surgery, peripheral nerve surgery, brain tumors,dizziness and balance disorders, epilepsy, sleep, memory problems/dementia, cerebral palsy,stroke, and spasticity and movement disorders.

As a department of Seton Hall University'sSchool of Graduate Medical Education, NJNI serves as the clinical setting for SHU's residencytraining in neurology. Martin Gizzi, MD, PhD is Professor and Chairman of Neuroscience at Seton Hall UniversitySchool of Graduate Medical Education, Chairman of the NJ Neuroscience Institute, andPresident of the Medical Advisory Board of MFAS. He holds a PhD in experimental psychology,an MD and is a board certified neurologist. He has been a prolific researcher, securing grantsfrom the National Institutes of Health and the National Aeronautics and Space Administration. His research with NASA led to several experiments performed on board the space shuttle.Project design and resultsFor this project, MFAS provided live, interactive music performances at a long-term carefacility.

23 patients with diagnoses of dementia were enrolled with appropriate consent. Stafftracked the number of falls, number of times sedating medication was given and quality of lifeusing the Quality of Life in Dementia (QOLID) scale. QOLID was developed in 1988(Alexopoulos et al, 1988a,b) and has been extensively validated in populations with dementia(Brod et al, 1999; Logsdon et al, 1999 and Ready et al, 2002).

The current study used a repeated measures design, testing subjects before and after two live music performances given six weeksapart. Each set of measures was taken at two-week intervals.The principal result was a measured increase in quality of life as measured by the QOLID.Scores increased significantly following each performance, and maintained this increase for aslong as six weeks. The effect was highly significant (F (5, 105) = 4.12, p = .002).

There was atrend for the use of sedating medications to fall in the two-week period following each

performance; however, because the overall use was so low there was not a signficiant effect (F(5,105) <1, p=.84).

Similarly there was a trend of decline in the number of falls in the two-weekperiod following each performance, but the effect was not significant (F (5, 105) <1, p = .5).The results strongly support the value of live musical performances in facilities that care forpatients with dementia and speak directly to the mission of Music For All Seasons.

The non-significant trends suggest that larger studies would be helpful in documenting decreased risk anddecreased medical expenses for patients attending regular musical performances.

It is our intentto repeat the study with a larger sample and using a control population rather than a repeatedmeasures design.

REFERENCESAbsher J and Cummings J. Noncognitive behavioral alterations in dementia syndromes.In Handbook of Neuropsychology. F Boller and J Grafman (Eds), 1993, pp. 315-338,Elsevier,

Amsterdam.Alexopoulos G, Abrams R, Young R et al. Use of the Cornell Scale in nondementedpatients. J Amer Geriatr Soc 1988a; 36:230-236.Alexopoulos G, Abrams R, Young R et al. Cornell Scale for depression in dementia. BiolPsychiat 1988b; 23:271-284.Aragon D,

Farris C and Byers J. The effects of harp music in vascular and thoracicsurgical patients. Altern Ther Health Med 2002; 8:52-54.Boller F and Duyckaerts C. Alzheimer disease: clinical and anatomic aspects. InBehavioral Neurology and Neuropsychology. T Feinberg and M Farah (Eds), 1997, pp.521-544, McGraw-Hill, New York.Brod M, Stewar A, Sands L et al.

Conceptualization and measurement of quality of lifein dementia: The dementia quality of life instrument (DQoL). Gerontologist 1999; 39:25-35.Clark M, Lipe A and Bilbrey M.

Use of music to decrease aggressive behaviors inpeople with dementia. J Gerontol Nursing 1998; 24:10-17.Cummings J.

Depression and Parkinson’s disease: A review. Am J Psychiatry 1992;149:443-445.Gotell E, Brown S and Ekman S. Caregiver singing and background music in dementiacare. West J Nurs Res 2002; 24:195-216.Gregory D.

Music listening for maintaining attention of older adults with cognitiveimpairments. J Music Ther 2002; 39:244-264.

4Hebert M, Parlato V, Lese G et al. Survival in institutionalized patients: Influence ofdementia and loss of function capacities. Arch Neurol 1995; 52:469-475.Konlaan B, Bjorby N, Bygren et al.

Attendance at cultural events and physical exerciseand health: a randomized controlled study. Public Health 2000; 114:316-319.Logsdon R, Gibbons L, McCurry S et al.

Quality of life in Alzheimer’s disease: Patientand caregiver reports. J Mental Health Aging 1999; 5:21-32.Moretti R, Torre P, Antonello R, Cazzato G and Bava A.

Depression and Alzheimer’sdisease: symptom or comorbidity? Am J Alzheimers Dis Other Demen 2002; 17:338-344.Myskja A and Lindbaek M.

Examples of the use of music in clinical medicine. TidsskrNor Laegeforen 2000; 120:1186-1190.Ragneskog H, Asplund K, Kihlgren M and Norberg A.

Individualized music played foragitated patients with dementia: analysis of video-recorded sessions. Int J Nurs Pract2001; 7:146-155.Ready R, Ott B, Grace J et al.

The Cornell-Brown scale for quality of life in dementia.Alzheimer Dis Assoc Disord 2002; 16:109-115.

Remington R. Calming music and hand massage with agitated elderly. Nurs Res 2002;51:317-323.Zimmerman S, Gruber-Baldini A, Hebel J, Sloane P and Magaziner J.

Nursing home facility risk factors for infection and hospitalization: importance of registered nurseturnover, administration and social factors. J AM Geriatr Soc 2002; 50:1987-1995.

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